Provider Demographics
NPI:1366589160
Name:LLUY, MARGARET ANN (PHD)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:LLUY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:OCCOQUAN
Mailing Address - State:VA
Mailing Address - Zip Code:22125-0252
Mailing Address - Country:US
Mailing Address - Phone:703-784-4960
Mailing Address - Fax:702-784-3558
Practice Address - Street 1:USMC FORCES COMMAND HEALTH SERVICES SUPPORT
Practice Address - Street 2:1468 INGRAM STREET
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23551-2596
Practice Address - Country:US
Practice Address - Phone:757-836-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03145103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist